Center for Financing, Access, and Cost Trends (CFACT): Publications by Staff

Thomas M. Selden

Authors: Selden T
Title: The within-year concentration of medical care: Implications for family out-of-pocket expenditure burdens
Publication: Health Services Research 44(3):1029-51
Date: June 2009
Abstract: Available on PubMed®.

Authors: Selden T, Sing M
Title: The distribution of public spending for health care in the United States, 2002
Publication: Health Affairs 27(5):w349-59.
Date: September/October 2008
Abstract: Available on PubMed®

Authors: Selden T
Title: The effect of tax subsidies on high health care expenditure burdens in the United States
Publication: Int J Health Care Finance Econ Sep;8(3):209-23.
Date: September 2008
Abstract: Available on PubMed®

Authors: Pylypchuk Y, Selden T
Title: A discrete choice decomposition analysis of racial and ethnic differences in children's health insurance coverage
Publication: J Health Ec 27(4):1109-28
Date: July 2008
Abstract: Available on Pub Med®

Authors: Selden T, Hudson J
Title: Children's eligibility and coverage: Recent trends and a look ahead
Publication: Health Affairs 26(5):w618-29
Date: 2007

Authors: Sing M, Banthin J, Selden T, Cowan C, Keehan S
Title: Reconciling medical expenditure estimates from the MEPS and NHEA, 2002
Publication: Health Care Financing Review 28(1):25-40
Date: Fall 2006
Abstract: Available on PubMed®

Authors: Selden T, Gray BM
Title: Tax subsidies for employment-related health insurance: estimates for 2006
Publication: Health Affairs 25(6):1568-79
Date: Nov-Dec 2006
Abstract: Available on PubMed®

Author: Selden T
Title: Compliance with well-child visit recommendations: Evidence from the Medical Expenditure Panel Survey, 2000-2002
Publication: Pediatrics 118(6):e1766-78
Date: Dec. 2006
Abstract: Available on PubMed®

Authors: Selden T, Hudson J
Title: Access to care and utilization among children: Estimating the effects of public and private coverage
Publication: Med Care 44(5 Suppl):119-26
Date: May 2006
Abstract: Available on PubMed®

Authors: Bernard D, Selden T
Title: Workers who decline employment-related health insurance
Publication: Med Care 44(5 Suppl):112-8
Date: May 2006
Abstract: Available on PubMed®

Authors: Banthin J, Selden T
Title: Income measurement in the Medical Expenditure Panel Survey
Publication: American Statistical Association, Joint Statistical Meetings—Section on Survey Research Methods, pp. 1517-21 (CD-ROM), Alexandria, VA
Date: 2005

Authors: Hudson J, Selden T, Banthin J
Title: The impact of SCHIP on insurance coverage of children
Publication: Inquiry 42(3):232-54
Date: Fall 2005
Abstract: Available on PubMed®

Authors: Selden T, Hudson J
Title: How much can really be saved by rolling back SCHIP? The net cost of public health insurance for children
Publication: Inquiry 42(1):16-28
Date: Spring 2005
Abstract: Available on PubMed®

Authors: Selden T, Hudson J, Banthin J
Title: Tracking changes in eligibility and coverage among children, 1996-2002
Publication: Health Affairs 23(5):39-50
Date: Sep-Oct 2004
Abstract: Available on PubMed®

Authors: Bernard D, Selden T
Title: Tax incidence and net benefits in the market for employment-related health insurance: sensitivity of estimates to the incidence of employer costs
Publication: Int J Health Care Finance Econ 4(2):167-92
Date: 2004
Abstract: Available on PubMed®

Authors: Selden T, Banthin J
Title: The ABC's of children's health care: How the Medicaid expansions affected access, burdens, and coverage between 1987 and 1996
Publication: Inquiry 40:133-45. AHRQ Pub. No. 03-R061
Date: 2003
Abstract: The Medicaid poverty expansions were among the major health policy initiatives of the late 1980s. This paper examines changes over a nine-year period in access, burdens, and coverage among children eligible for Medicaid through the expansions. Among eligible children, the Medicaid expansions reduced rates of uninsurance, increased access to physicians, and reduced families' risk of bearing a heavy financial burden. Gaps remain, however, and expansion-eligible children are more likely than never-eligible children to have been uninsured, to have gone without a physician office visit, and to have lived in a family that spent at least 20% of family income on medical care.

Authors: Selden T, Banthin J
Title: Health care expenditure burdens among elderly adults: 1987 and 1996
Publication: Med Care 41(7):III-13-23. AHRQ Pub. No. 03-R054
Date: July 2003
Abstract: Available on PubMed®

Authors: Bernard D, Selden T
Title: Employer offers, private coverage, and the tax subsidy for health insurance: 1987 and 1996
Publication: Int J Health Care Finance Econ 2:297-318. AHRQ Pub. No. 03-R031
Date: 2003
Abstract: Available on PubMed®

Authors: Moeller J, Cohen S, Hock E, et al
Title: Projecting NMES Data: A Framework for MEPS Projections
Publication: MEPS Methodology Report No. 13. AHRQ Pub. No. 02-0009. Available on the MEPS Web site
Date: 2002
Abstract: This report describes the procedures used to project data from the 1987 NMES household survey to future years. This survey, sponsored by the National Center for Health Services Research, AHRQ's predecessor agency, provided extensive information on health expenditures by or on behalf of American families and individuals, the financing of these expenditures, and use of services. NMES data have been "aged" based on more recent household population estimates from government sources and data from the National Health Accounts of the Centers for Medicare & Medicaid Services. The NMES data were released in public use data sets projected to the years 1996 and 2005. This report describes the categories of expenditures and payment sources in the projected data, the population and expenditure reweighting procedures, and alignment of the 1987 NMES to the 1987 National Health Accounts.

Authors: Gray B, Selden T
Title: Adverse selection and the capped premium subsidy in the Federal employees health benefits program
Publication: J Risk and Ins 69(2):209-24. AHRQ Pub. No. 02-R090
Date: 2002
Abstract: This article examines the relationship between adverse selection and the capped premium subsidy in the Federal Employees Health Benefit Program (FEHBP). Understanding this relationship is important, not only because the FEHBP is the largest employer-sponsored health program in the U.S., but also because it has been proposed as a market-based model for the reform of both Medicare and the market for nongroup private coverage. We present a theoretical model of the FEHBP that we then test using enrollee data. In particular, we exploit the natural experiment that arises from variation in the premium subsidy cap across Metropolitan Statistical Areas (MSAs). Although the nominal subsidy cap is constant across MSAs, its real value varies greatly across MSAs with different price levels. The empirical analysis herein supports the contention that the premium subsidy in the FEHBP helps reduce adverse selection.

Authors: Gordon L, Selden T
Title: How much did the Medicaid expansions for children cost? An analysis of State Medicaid spending, 1984-1994
Publication: Med Care Res Rev 58(4):482-95. AHRQ Pub. No. 02-R033
Date: 2001
Abstract: Available on PubMed®

Authors: Selden T, Levit K, Cohen J, et al
Title: Reconciling Medical Expenditure Estimates from the MEPS and the NHA, 1996
Publication: Health Care Financ Rev 23(1):161-78. AHRQ Pub. No. 02-R027
Date: 2001
Abstract: Available on PubMed®

Authors: Encinosa W, Selden T
Title: Designing employer health benefits for a heterogeneous workforce: Risk adjustment and its alternatives
Publication: Inquiry 38:270-9. AHRQ Pub. No. 02-R029
Date: 2001
Abstract: Available on PubMed®

Authors: Zuvekas S, Banthin J, Selden T
Title: How would mental health parity affect the marginal price of care?
Publication: Health Serv Res 35(6):1207-27. AHRQ Pub. No. 01-R042
Date: 2001
Abstract: Available on PubMed®

Authors: Selden T, Moeller J
Title: Estimates of the tax subsidy for employment-related health insurance
Publication: National Tax Journal 53(4)Part 1:877-87
Date: 2000
Abstract: This paper uses the MEDSIM health care microsimulation model developed by researchers at AHRQ to compute the magnitude and distribution of the tax subsidy for employment-related health insurance premiums. The authors also presented estimates of the revenue gain that would be associated with a variety of caps on the amount of contributions that can be excluded from the tax base.

Authors: Monheit A, Selden T
Title: Cross-subsidization in the market for employment-related health insurance
Publication: Health Econ 9:699-714. AHRQ Pub. No. 01-R034
Date: 2000
Abstract: Available on PubMed®

Authors: Zabinski D, Selden T, Moeller J, Banthin J
Title: Medical savings accounts: Microsimulation results from a model with adverse selection
Publication: J Health Econ 18:195-218. AHCPR Pub. No. 99-R047
Date: 1999
Abstract: Available on PubMed®

Authors: Selden T, Banthin J, Cohen J
Title: Waiting in the wings: eligibility and enrollment in the State Children's Health Insurance Program
Publication: Health Aff 1999 (Mar/Apr);18(2):126-33. AHCPR Pub. No. 99-R050
Date: 1999
Abstract: Available on PubMed®

Author: Selden T
Title: Premium subsidies for health insurance: excessive coverage vs. adverse selection
Publication: J Health Econ 18:709-25. AHRQ Pub. No. 00-R012
Date: 1999
Abstract: Available on PubMed®

Authors: Zuvekas S, Banthin J, Selden T
Title: Mental health parity: What are the gaps in coverage?
Publication: J Ment Health Policy Econ 1:135-46
Date: 1998
Abstract: Available on PubMed®

Authors: Spector W, Selden T, Cohen J
Title: The impact of ownership type on nursing home outcomes
Publication: Health Econ 7:639-53. AHCPR Pub. No. 99-R026
Date: 1998
Abstract: Available on PubMed®

Authors: Selden T, Banthin J, Cohen J
Title: Medicaid's problem children: Eligible but not enrolled
Publication: Health Aff 17(3):192-200. AHCPR Pub. No. 98-R067
Date: 1998
Abstract: Available on PubMed®

Author: Selden T
Title: Risk adjustment for health insurance: Theory and implications
Publication: J Risk Uncertainty 17:167-80
Date: 1998
Abstract: This paper explores the potential for welfare-improving public risk adjustment in health insurance markets characterized by adverse selection. The optimal risk-adjustment system is derived in a theoretical model under a range of assumptions regarding government information and market equilibrium. Special attention is focused on the interaction between risk adjustment and the private transfers that can occur in markets characterized by adverse selection. Risk adjustment has the potential to improve both equity and efficiency; however, it can also have the effect of crowding out private transfers.

Authors: McCoskey S, Selden T
Title: Health care expenditures and GDP: panel data unit root test results
Publication: J Health Econ 17:369-76
Date: 1998
Abstract: Available on PubMed®

Authors: Monheit A, Nichols L, Selden T
Title: How are net health insurance benefits distributed in the employment-related insurance market?
Publication: Inquiry 32:379-91. AHCPR Pub. No. 96-R054
Date: 1995/96
Abstract: The recent health care reform debate has questioned whether the health insurance market effectively pools risks and transfers income across states of health. The authors used data from the 1987 National Medical Expenditure Survey to examine how net health insurance benefits are distributed in the employment-related insurance market. The authors found this market to transfer income from those in good health to those with health problems and the tax subsidy from employer health insurance contributions to be a crucial determinant of the net benefit distribution. To the extent society views these transfers as meritorious, the findings suggest caution regarding initiatives to limit or eliminate the tax subsidy.

---

 Previous Section       CFACT Author Index       Next Section 

---